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Major Earwax Removal Drops Earwax Removal Aid CARBAMIDE PEROXIDE 65 mg/mL Solution/ Drops — NDC 00904-7478-35 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Major Earwax Removal Drops Earwax Removal Aid CARBAMIDE PEROXIDE 65 mg/mL Solution/ Drops — NDC 0904-7478-35 (Billing 00904-7478-35)

by Major Pharmaceuticals · 1 BOTTLE in 1 BOX / 15 mL in 1 BOTTLE

This is a package of Major Earwax Removal Drops Earwax Removal Aid CARBAMIDE PEROXIDE 65 mg/mL Solution/ Drops from Major Pharmaceuticals, marketed since Jul 2024 and currently FDA-listed; retail pharmacies pay about $0.1622 per mL (NADAC). It is this product's only package size.

NDC 00904-7478-35
🏷️ FDA NDC (as labeled) 0904-7478-35 billing pads the labeler segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

⚠️
Other active recalls for Carbamide Peroxide (different manufacturers) — 6 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class II · Jun 25, 2026 — SubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%). (Bell Pharmaceuticals, Inc) · FDA recall D-0680-2026
Class II · Jun 25, 2026 — SubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%). (Bell Pharmaceuticals, Inc) · FDA recall D-0679-2026
Class II · Jun 25, 2026 — SubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%). (Bell Pharmaceuticals, Inc) · FDA recall D-0685-2026
Class II · Jun 25, 2026 — SubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%). (Bell Pharmaceuticals, Inc) · FDA recall D-0683-2026
Class II · Jun 25, 2026 — SubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%). (Bell Pharmaceuticals, Inc) · FDA recall D-0688-2026
Class II · Jun 25, 2026 — SubPotent Drug: low pH and significantly reduced assay (~0.6% vs expected ~6 7%). (Bell Pharmaceuticals, Inc) · FDA recall D-0687-2026
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0904-7478-35
Product NDC 0904-7478
11-digit billing NDC 00904747835
NCPDP billing unit ML — per mL (volume)
RxCUI 702050
UNII 31PZ2VAU81
UPC 0309047478354
Application # M014
SPL Set ID 513bf82e-a36f-49d0-ba74-c834fea4f3b5
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2024-07-09
Route TOPICAL
Dosage form SOLUTION/ DROPS
Substance CARBAMIDE PEROXIDE

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 87400030002010
GCN Seq No 008120
GCN 34401
HICL code 004272
Ingredient (HICL) Carbamide Peroxide
HIC1 code Q
Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other
HIC2 code Q8
Therapeutic class — intermediate (HIC2) Otic Preparations
HIC3 code Q8R
Therapeutic class — specific (HIC3) Ear Preparations,Ear Wax Removers
AHFS code 52:04.24.00
AHFS class Astringents (52:04)
FDB label name EAR WAX REMOVAL 6.5% DROP
FDB brand name Ear Wax Removal
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 008120
  • GCN: 34401
  • GPI-14 (Medi-Span): 87400030002010
  • HICL (First Databank): 004272
  • AHFS class code: 52:04.24.00
  • RxCUI (RxNorm): 702050
Why two NDCs? The FDA registers this code as 0904-7478-35 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00904-7478-35. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

Clinical

Label name EAR WAX REMOVAL 6.5% DROP Ingredient Carbamide Peroxide
🧪 What is this product?

Major Earwax Removal Drops is an over-the-counter topical solution containing carbamide peroxide 65 mg/mL. This product is an OTC monograph drug, meaning it is marketed under FDA's established rules for earwax removal aids rather than as an individually reviewed new drug application. Carbamide peroxide is typically used to help soften and loosen earwax buildup in the ear canal so it can be more easily removed. The solution is applied as drops directly into the affected ear.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly $0.162 $2.43 / 15 ml
Medicaid paysCMS SDUD · 12 mo $0.4338 $6.51 / 15 ml
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per mL) — tap or hover for the price & month
Dec 2025 Mar 2026 Jun 2026 Sep 2026 $0.164 $0.157
▲ Up 3% over the last 10 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
00904-7478-35 You're viewing this Main listing 1 BOTTLE in 1 BOX / 15 mL in 1 BOTTLE 2024-07-09 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Ear Drops Major 6.5 g/100mL 00904-6627-35 Major 1 bottle $0.162 — Discontinued —
Major Earwax Removal Drops Earwax Removal Aid 65 mg/mLthis 00904-7478-35 Major 1 bottle $0.162 — Availability likely —
Ear Wax Removal Drops 65 mg/mL 11527-0143-51 Sheffield 1 bottle $0.162 — Availability likely —
Good Neighbor Pharmacy Earwax Removal 46122-0556-05 Amerisource 1 kit $0.162 — Availability likely —
Good Neighbor Pharmacy Earwax Removal Drops 65 mg/mL 46122-0557-05 Amerisource 1 bottle $0.162 — Availability likely —
Leader Earwax Removal Drops Earwax Removal Aid 65 mg/mL 70000-0688-01 Cardinal 1 bottle $0.162 — Availability likely —
Foster and Thrive Earwax Removal Kit Ear wax drops 70677-1153-01 Mckesson 1 kit $0.162 — Availability likely —
Foster and Thrive Earwax Removal Drops 65 mg/mL 70677-1154-01 Mckesson 1 bottle $0.162 — Availability likely —
Deluxe Ear Wash system 00363-2231-10 Walgreens 1 kit — — FDA listed —
Ear Wax Removal Drops Up and Up 65 mg/mL 11673-0761-05 Target 1 bottle — — FDA listed —
Ear Wax Removal Aid Drops .065 mg/mL 11673-0793-15 Target 1 bottle — — FDA listed —
EarWax Removal Kit Rite Aid 11822-1222-07 Rite 1 kit — — FDA listed —
EAR WAX RMVL Rite Aid 6.5 g/100mL 11822-1224-01 Rite 15 ml — — FDA listed —
Rite Aid Earwax Removal Drops 6.5 g/100mL 11822-6117-00 Rite 1 bottle — — FDA listed —
ClearCanal Ear Wax Softerner Drops 65 mg/mL 13709-0230-01 NeilMed 1 bottle — — FDA listed —
SuavEar Earwax Removal Aid 65 mg/mL 13709-0312-01 NEILMED 1 bottle — — FDA listed —
Wax Out Plus 65 mg/mL 13709-0313-01 NEILMED 1 bottle — — FDA listed —
NeilMed Clear Canal Earwax Removal kit 65 mg/mL 13709-0314-01 NEILMED 1 bottle — — FDA listed —
Otix Ear wax Removal Drops 65 mg/mL 15579-0838-34 Bell 1 bottle — — FDA listed —
Otix Ear wax Removal System Ear wax and Bulb 15579-0839-33 Bell 1 kit — — FDA listed —
Ear Wax Removal Aid Drops 65 mg/mL 21130-0793-15 BETTER 1 bottle — — FDA listed —
TopCare Earwax Removal Kit 65 mg/mL 36800-0835-33 TOPCO 1 bottle — — FDA listed —
Equaline Earwax Removal Drops 65 mg/mL 41163-0835-34 United 1 bottle — — FDA listed —
Meijer Earwax Removal Drops 65 mg/mL 41250-0282-34 Meijer 1 bottle — — FDA listed —
Meijer Earwax Removal Kit 65 mg/mL 41250-0835-33 Meijer 1 bottle — — FDA listed —
Ear Wax Removal Drops Equate 65 mg/mL 49035-0862-01 WALMART 1 bottle — — FDA listed —
Debrox 65 mg/mL 50090-4201-00 A-S 1 bottle — — FDA listed —
Ear Drops Major 6.5 g/100mL 50090-5273-00 A-S 1 bottle — — FDA listed —
Clearcanal Ear Wax Softerner Drops 65 mg/mL 50090-7426-00 A-S 1 bottle — — FDA listed —
Foster And Thrive Earwax Removal Drops 65 mg/mL 50090-7510-00 A-S 1 bottle — — FDA listed —
GoodSense Ear Wax Removal Kit 6.5 g/100mL 50804-0117-01 Geiss, 1 bottle — — FDA listed —
CVS Health Earwax Removal Drops Earwax Removal Aid 65 mg/mL 51316-0822-00 CVS 1 bottle — — FDA listed —
CVS Health Earwax Removal Kit 51316-0823-00 CVS 1 kit — — FDA listed —
ERO Ear Wax Removal Kit 6.5 g/100mL 52412-0175-01 Randob 1 bottle — — FDA listed —
DISCOUNT drug mart FOOD FAIR earwax removal kit 65 mg/mL 53943-0835-33 Discount 1 bottle — — FDA listed —
Discount Drug Mart Earwax Removal Drops 65 mg/mL 53943-0838-34 Discount 1 bottle — — FDA listed —
Family Wellness Earwax Removal Earwax and Bulb 55319-0835-01 Family 1 kit — — FDA listed —
DoloEar 6.5 g/100mL 55758-0506-01 Pharmadel 1 bottle — — FDA listed —
Ear Wax Removal Drops 65 mg/mL 57896-0339-05 GeriCare 1 bottle — — FDA listed —
Audiologists Choice Earwax Removal System 65 mg/mL 59256-0001-02 Oaktree 1 bottle — — FDA listed —
Audiologists Choice Earwax Removal Aid Drops 65 mg/mL 59256-0836-34 Oaktree 1 bottle — — FDA listed —
Debrox 65 mg/mL 63029-0321-01 Medtech 1 bottle — — FDA listed —
Quality Choice Earwax Removal Kit 65 mg/mL 63868-0026-15 Chain 1 bottle — — FDA listed —
Quality Choice Earwax Removal Drops 65 mg/mL 63868-0027-16 Chain 1 bottle — — FDA listed —
Best Choice Earwax Removal Kit 65 mg/mL 63941-0835-33 Valu 1 bottle — — FDA listed —
Best Choice Earwax Removal Drops 65 mg/mL 63941-0836-34 Valu 1 bottle — — FDA listed —
Family Care Earwax Removal .065 mg/mL 65923-0639-15 United 1 bottle — — FDA listed —
Wax Away Earwax Removal Aid 65 mg/mL 66354-0005-81 McKeon 1 bottle — — FDA listed —
Wax Away Earwax Removal System 65 mg/mL 66354-0006-80 McKeon 1 bottle — — FDA listed —
ProRinse Earwax Removal System 65 mg/mL 66354-0007-82 McKeon 1 bottle — — FDA listed —
Ear Wax Removal Aid Drops .065 mg/mL 68016-0793-15 PHARMACY 1 bottle — — FDA listed —
ENT Essentials Ear Wax Remvoer .065 g/g 68093-4503-01 Wisconsin 1 bottle — — FDA listed —
Clinere Ear Wax Remover .065 g/mL 68229-0102-02 Quest 1 bottle — — FDA listed —
Good Neighbor Pharmacy Earwax Removal Drops 65 mg/mL 68788-8586-01 Preferred 1 bottle — — FDA listed —
GoodSense Ear Wax Removal Kit 6.5 g/100mL 68788-8615-01 Preferred 1 bottle — — FDA listed —
Carbamide peroxide 6.5% 65 mg/mL 69168-0488-68 Allegiant 1 bottle — — FDA listed —
Harris Teeter Earwax Removal Drops 6.5 g/100mL 69256-0117-01 Harris 1 bottle — — FDA listed —
Tech Care Earwax Removal Drops 65 mg/mL 69428-0002-00 Warner 1 bottle — — FDA listed —
Tech Care Earwax Removal Kit 69428-0003-00 Warner 1 kit — — FDA listed —
ear drops .065 mg/mL 69452-0377-95 Bionpharma 2 bottles — — FDA listed —
Healthy Ears 6.5 mg/mL 69469-0650-05 Vitamex 14.7 ml — — FDA listed —
Ear Drops .065 mg/mL 69842-0097-45 CVS 1 bottle — — FDA listed —
Ear Wash Refill CVS 69842-0877-14 CVS 1 kit — — FDA listed —
Leader Earwax Removal Kit Earwax Removal Aid and Bulb 70000-0689-01 Cardinal 1 kit — — FDA listed —
Good Neighbor Pharmacy Earwax Removal Drops 65 mg/mL 71205-0260-15 Proficient 1 bottle — — FDA listed —
CareOne Earwax Removal Drops 65 mg/mL 72476-0838-34 Retail 1 bottle — — FDA listed —
WaxRx Ear Wax Removal Aid Drops 6.5 g/100mL 72724-0001-15 DOCTOR 15 ml — — FDA listed —
DG Health Earwax Removal kit 65 mg/mL 75712-0301-14 DOLLAR 1 bottle — — FDA listed —
TopCare Earwax Removal Drops 65 mg/mL 76162-0836-34 Topco 1 bottle — — FDA listed —
Ear Wash Refill Equate 79903-0403-50 Walmart 1 kit — — FDA listed —
Wax B Gone Ear Wax Removal Drops 65 mg/mL 82498-0149-15 SIGMAR, 1 bottle — — FDA listed —
Freskaro Earwax Removal Aid 6.5 g/100mL 82645-0097-45 Pharma 1 bottle — — FDA listed —
Quality Choice Earwax Removal Kit Earwax Removal Aid and Bulb 83324-0282-05 Chain 1 kit — — FDA listed —
Quality Choice Earwax Removal Drops Earwax Removal Aid 65 mg/mL 83324-0283-05 Chain 1 bottle — — FDA listed —
Lucid Hearing Earwax Removal Kit and Bulb 84320-0001-00 Hearing 1 kit — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2024
On the market since
Jul 2024
📍
2026
Currently FDA-listed
2 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII XF417D3PSL
    Anhydrous citric acid is a sour, crystalline powder derived from citric acid with water removed. In medicines, it acts as a buffer to control pH, adds tartness to improve taste, and helps tablets disintegrate.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII 6DC9Q167V3
    Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
  • UNII 1Q73Q2JULR
    Sodium citrate is a salt derived from citric acid. It works as a buffer to maintain the medicine's pH level and may also help improve taste or act as a preservative in the formulation.
  • UNII 368GB5141J
    A detergent and foaming agent derived from coconut or palm oil. In medications, it helps break down and mix oil and water-based ingredients, aids in tablet disintegration, and improves how the drug dissolves and spreads in the mouth or digestive system.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

6 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesanhydrous citric acid, glycerin, propylene glycol, sodium citrate, sodium lauryl sulfate, water

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerMajor Pharmaceuticals
FDA applicationM014 (OTC MONOGRAPH DRUG)
Labeler code00904
First marketedJul 2024
Product typeHuman Otc Drug
Portfolio630 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Ask a Doctor Before Use If 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 14 words ▾

Uses for occasional use as an aid to soften, loosen, and remove excessive earwax

⏱️ Dosage and Administration 97 words ▾

Directions FOR USE IN THE EAR ONLY Adults and children over 12 years of age: Tilt head sideways and place 5 to 10 drops into ear Tip of applicator should not enter ear canal Keep drops in ear for several minutes by keeping head tilted or placing cotton in the ear Use twice daily for up to 4 days if needed, or as directed by a doctor Any wax remaining after treatment may be removed by gently flushing the ear with warm water, using a soft rubber bulb ear syringe Children under 12 years: consult a doctor

⚠️ Warnings 94 words ▾

Warnings For use in the ear only Ask a doctor before use if you have ear drainage or discharge ear pain irritation, or rash in the ear dizziness an injury or perforation (hole) of the ear drum recently had ear surgery When using this product avoid contact with the eyes Stop use and ask a doctor if you need to use for more than 4 days excessive earwax remains after use of this product Keep out of reach of children. If swallowed get medical help or contact a Poison Control Center (1-800-222-1222) right away.

🧪 Active Ingredient 9 words ▾

Active ingredient Carbamide peroxide 6.5% Purpose Earwax removal aid

🧪 Inactive Ingredients 14 words ▾

Inactive ingredients anhydrous citric acid, glycerin, propylene glycol, sodium citrate, sodium lauryl sulfate, water

🎯 Purpose 4 words ▾

Purpose Earwax removal aid

📄 Ask a Doctor Before Use If 34 words ▾

Ask a doctor before use if you have ear drainage or discharge ear pain irritation, or rash in the ear dizziness an injury or perforation (hole) of the ear drum recently had ear surgery

📄 When Using This Product 9 words ▾

When using this product avoid contact with the eyes

📄 Stop Use and Ask a Doctor If 24 words ▾

Stop use and ask a doctor if you need to use for more than 4 days excessive earwax remains after use of this product

📄 Keep Out of Reach of Children 20 words ▾

Keep out of reach of children. If swallowed get medical help or contact a Poison Control Center (1-800-222-1222) right away.

📄 Questions or Comments 5 words ▾

Questions? 1-800-328-5890 Weekdays 8:30-5:00 CST

📄 Package Label / Principal Display Panel 5 words ▾

Package Labeling: Label Inner label

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for this package alone, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q2 2025 – Q4 2025 · 3 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
18.7K
Units reimbursed last 4 qtrs
282.8K
Gross reimbursed last 4 qtrs
$122.7K
Avg / prescription
$6.57
Avg / unit
$0.4338
Latest quarter Q4 2025
11.4KRx
Medicaid pays / mL
$0.4338
gross reimbursed
vs
NADAC / mL
$0.1622
acquisition cost
=
Spread
+$0.2716
+167% vs cost
What Medicaid paid per mL (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
29% FFS 71% MCO
Fee-for-service · 5,394 Rx Managed care · 13,271 Rx
State Medicaid map
Alaska: no data reported AK Maine: 3,631 units · 260 per 100k residents ME Washington: 13,620 units · 174 per 100k residents WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 13,287 units · 232 per 100k residents MN Wisconsin: no data reported WI Michigan: 270 units · 2.7 per 100k residents MI New York: no data reported NY Vermont: 495 units · 76.5 per 100k residents VT New Hampshire: no data reported NH Oregon: 1,815 units · 42.9 per 100k residents OR Nevada: 2,740 units · 85.8 per 100k residents NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: 19,375 units · 154 per 100k residents IL Indiana: 2,380 units · 34.7 per 100k residents IN Ohio: 53,970 units · 458 per 100k residents OH Pennsylvania: 40,213 units · 310 per 100k residents PA New Jersey: 29,620 units · 319 per 100k residents NJ Massachusetts: 23,461 units · 335 per 100k residents MA California: 3,870 units · 9.9 per 100k residents CA Utah: no data reported UT Colorado: no data reported CO Nebraska: 5,895 units · 298 per 100k residents NE Missouri: no data reported MO Kentucky: 17,035 units · 376 per 100k residents KY West Virginia: no data reported WV Virginia: 4,420 units · 50.7 per 100k residents VA Maryland: 4,805 units · 77.8 per 100k residents MD Connecticut: no data reported CT Rhode Island: 8,063 units · 736 per 100k residents RI Arizona: 4,190 units · 56.4 per 100k residents AZ New Mexico: 990 units · 46.8 per 100k residents NM Kansas: 4,510 units · 153 per 100k residents KS Arkansas: no data reported AR Tennessee: no data reported TN North Carolina: no data reported NC South Carolina: 1,575 units · 29.3 per 100k residents SC Delaware: 1,380 units · 134 per 100k residents DE Oklahoma: no data reported OK Louisiana: no data reported LA Mississippi: no data reported MS Alabama: no data reported AL Georgia: 4,245 units · 38.5 per 100k residents GA D.C.: 750 units · 110 per 100k residents DC Hawaii: no data reported HI Texas: 16,235 units · 53.2 per 100k residents TX Florida: no data reported FL
Units reimbursed · per 100k residents
2.7736
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Rhode Island 736 /100k
2 Ohio 458 /100k
3 Kentucky 376 /100k
4 Massachusetts 335 /100k
5 New Jersey 319 /100k
6 Pennsylvania 310 /100k
7 Nebraska 298 /100k
8 Maine 260 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.
← 00904-7472-61 · Major 00904-7480-04 · Major →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.